LICKING MEMORIAL PATASKALA SPECIALTIES
NPI 1093955932
Surgery in Pataskala, OH
NPI Status: Active since March 05, 2009
Contact Information
1 HEALTHY PL STE 202
PATASKALA, OH
ZIP 43062
Phone: (740) 348-1935
Fax: (740) 348-1936
- Organization
- Surgery
- CLIA Number: 36D0957202
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-07-2026
About LICKING MEMORIAL PATASKALA SPECIALTIES
This page provides the complete NPI Profile along with additional information for Licking Memorial Pataskala Specialties, a provider established in Pataskala, Ohio operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1093955932 assigned on March 2009. The practitioner's primary taxonomy code is 208600000X with license number 34008308 (OH). The provider is registered as an organization and their NPI record was last updated 17 years ago. Licking Memorial Pataskala Specialties operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Licking Memorial Pataskala Specialties. The authorized official of this NPI record is Cynthia Webster (Vp Revenue Cycle & Interim Vp Finan)
- NPI
- 1093955932
- Provider Legal Name
- LICKING MEMORIAL PROFESSIONAL CORPORATION
- Other Organization Name
- LICKING MEMORIAL PATASKALA SPECIALTIES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 HEALTHY PL STE 202 PATASKALA, OH 43062
- Location Phone
- (740) 348-1935
- Location Fax
- (740) 348-1936
- Mailing Address
- 1 HEALTHY PL STE 202 PATASKALA, OH 43062
- Mailing Phone
- (740) 348-1935
- Mailing Fax
- (740) 348-1936
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-05-2009
- Last Update Date
- 03-06-2009
- Code Navigator
A surgeon like Licking Memorial Pataskala Specialties treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34008308
- License State
- OH
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0957202
- Facility Type
- Physician Office
- Certificate Effective Date
- October 08, 2024
- Certificate Expiration Date
- October 07, 2026
- Laboratory Director
- BRIAN KLIMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Licking Memorial Pataskala Specialties to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093955932, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093955932, enumerated as an "organization" on March 05, 2009.
The provider is located at 1 HEALTHY PL STE 202 PATASKALA, OH 43062 and the phone number is (740) 348-1935.
Surgery with taxonomy code 208600000X.
